Impact of Workplace Injury on Opioid Dependence, Abuse, Illicit Use and Overdose: A 36-Month Retrospective Study of Insurance Claims

Details

• Personal Author:
  Asfaw A ; Boden LI
• Description:
  Objectives: To examine the impact of workplace injury on opioid dependence, abuse and overdose (opioid-related morbidity) and if severity of injury increases the hazard of these health effects. Methods: We used MarketScan databases to follow injured and propensity score matched non-injured workers, both without prior opioid-related diagnoses. Using a Cox proportional hazard model, we examined the impact of workplace injury on opioid-related morbidity. Results: The hazard of opioid-related morbidity for injured workers was 1.79 times than that of matched non-injured workers (95% CI 1.89 to 3.60). For medical-only and lost-time injured workers, it was respectively 1.54 (95% CI 1.02 to 2.32) and 2.91 (95% CI 1.75 to 4.84) times that of non-injured workers. Conclusions: Reducing workplace injury or severity of workplace injury, as well as efforts to ensure appropriate opioid prescribing for injured workers, may help to reduce the societal costs of opioid use. Description provided by NIOSH
• Subjects:
  • Morbidity
  • Occupational Health
  • Safety
  • Substance-Related Disorders
• Keywords:
  • Opioids
  • Drug abuse
  • Injuries
  • Morbidity rates
  • Prescription drugs
• ISSN:
  1351-0711
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  District of Columbia ; Massachusetts ; OSHA Region 1 ; OSHA Region 3
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OD - Office of the Director
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  77
• Issue:
  9
• NIOSHTIC Number:
  nn:20059481
• Citation:
  Occup Environ Med 2020 Sep; 77(9):648-653
• Contact Point Address:
  Dr Abay Asfaw, NIOSH, Centers for Disease Control and Prevention, Washignton, DC 20201
• Email:
  hqp0@cdc.gov
• Federal Fiscal Year:
  2020
• Performing Organization:
  Boston University Medical Campus
• Peer Reviewed:
  True
• Start Date:
  20180930
• Source Full Name:
  Occupational and Environmental Medicine
• End Date:
  20220929
• Download URL:
  https://stacks.cdc.gov/view/cdc/223697/cdc_223697_DS1.pdf
• File Type:
  [PDF - 438.47 KB]
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fa15ae914d8a1f03036af4ba68a89e79eff11bde0b519a3335d1a129af8fb64695cde70613740dd7a50b5ef99942e743d8d8b7790b0afeb6248266db85618eb8